Role of Ankle Brachial Pressure Index in the early diagnosis of Peripheral Vascular Disease in asymptomatic diabetic patients

Patients diagnosed as having Type 2 Diabetes Mellitus by a physician or patients on treatment for diabetes who don’t have symptoms of peripheral vascular disease will be approached in the OPD and Wards of both participating departments of general surgery and general medicine for participating in the study, will be explained the details of the study. Once the patient agrees, informed written consent will be taken. The case will then be recruited into the study. Basic demographic details will be obtained. We will assess the patients for duration of diabetes mellitus, other co morbidities, symptoms of peripheral neuropathy, history of Myocardial Infarction, HbA1c levels if available, family history of peripheral or coronary artery disease. Patient will then be asked to lie supine on bed and Systolic BP will be measured in both upper limbs and both lower limbs using sphygmomanometer with appropriate cuffs and handheld doppler device. The process will take about 10-20 minutes. The values will be charted in the Data collection proforma and Ankle Brachial Pressure Index will be calculated. Based on the obtained value and if the patient has ABPI<0.9, they’ll be counselled to go to concerned doctors for workup and further management of Peripheral vascular disease . If arterial doppler is done on the same admission, information will be obtained regarding the same. There will be no Follow up of the patients.